Lineberry Sarah, Bogenschutz Matthew, Dinora Parthenia
Virginia Commonwealth University.
Inclusion (Wash). 2025;13(1):26-39. doi: 10.1352/2326-6988-13.1.26.
Evidence suggests that the public health response to the COVID-19 pandemic exacerbated existing inequities, including for people with intellectual and developmental disabilities (IDD). People with IDD may have been at a higher risk for poor outcomes from COVID-19 than people without disabilities, but they were rarely prioritized in the public health response. Using multilevel modeling, we explored the impact of individual-level differences in combination with state-level policies on the likelihood of contracting COVID-19. Findings suggest that the ways people with IDD interact with their community, including where they live, impacted their risk during the COVID-19 pandemic, supporting calls to more actively consider people with IDD in future public health emergencies.
有证据表明,针对新冠疫情的公共卫生应对措施加剧了现有的不平等现象,包括对智力和发育障碍者(IDD)而言。与无残疾者相比,IDD患者感染新冠病毒后出现不良后果的风险可能更高,但在公共卫生应对中他们很少被列为优先考虑对象。我们采用多层次建模方法,探讨了个体层面差异与州级政策相结合对感染新冠病毒可能性的影响。研究结果表明,IDD患者与社区互动的方式,包括他们的居住地点,在新冠疫情期间影响了他们的风险,这支持了在未来公共卫生紧急事件中更积极地考虑IDD患者的呼声。